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NPI Code Detail

MEDICARE: DR. JAMES C NEUBER D.C.

MEDICARE: DR. JAMES C NEUBER D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2797-012WI

General Provider Information

NPI Number : 1104927854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES C NEUBER D.C.
Provider Business Mailing Address
First Line : 355 N PETERS AVE
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-8258
Country : US
Telephone Number : 920-923-3322
Fax Number : 920-923-3940
Provider Business Practice Location Address
First Line : 355 N PETERS AVE
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-8258
Country : US
Telephone Number : 920-923-3322
Fax Number : 920-923-3940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 11/17/2015

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